KENNETH JASON MAYER

WOONSOCKET, RI
NPI1255997904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2019-05-17
Last Update Date2019-05-17
Business Address
KENNETH JASON MAYER
1625 DIAMOND HILL RD
WOONSOCKET, RI 02895-1771
Phone number: 401-762-1511
Mailing Address
KENNETH JASON MAYER
1625 DIAMOND HILL RD
WOONSOCKET, RI 02895-1771
Phone number: 401-762-1511
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